Wirt, Robert C.

Wirt, Robert C. is an individual health care provider with primary practice located at 597 S Enota Dr Ne , Gainesville GA 30501-2545. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wirt, Robert C. can be contacted via phone (770) 219-7777.

Contact Information

Primary practice address
597 S Enota Dr Ne Gainesville GA 30501-2545
Phone: (770) 219-7777
Fax: (770) 219-7778
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 026686 Georgia

Profile Details

NPI number 1871586115
LBN Legal business name Wirt, Robert C.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Feb 19th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871586115 NPPES
Georgia MEDICAID 00365538C

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